Deck 44: Vascular Surgery

Question 1

Match each procedure with its definition.
a.Embolectomy
b.Atherectomy
c.Balloon dilation
d.Intraluminal stent
e.Laser angioplasty
f.Thrombolytic therapy
g.Thrombectomy
Method to vaporize arterial plaque

Answer 1

E

Question 2

Which of the following may be used for DVT prophylaxis during a vascular surgical procedure?

A)Pulse oximeter, hemodialysis catheter
B)Sequential compression sleeves, anticoagulant therapy
C)Sandbags, urokinase
D)Cell saver, pulse volume recorder

Answer 2

B
For deep vein thrombosis (DVT)prophylaxis,antiembolic stockings or sequential compression devices should be worn by the patient during and after the surgical procedure in addition to anticoagulant therapy.

Question 3

Which is a potential serious complication of a carotid endarterectomy?

A)Keloid scar formation
B)Brain injury due to embolized plaque
C)Inflammation due to scar formation
D)Anaphylactic reaction to thrombin

Answer 3

B
Free plaque that is dislodged can cause an embolic event in the brain.

Question 4

Which drug is used in vascular surgery to relax the smooth muscle of a vessel?

A)Surgicel
B)Fibrin
C)Papaverine
D)Thrombin

Question 5

Which characteristic is true of the ideal vena cava filter?

A)Low filtration
B)Low cost
C)Large caliber insertion device
D)Magnetic

Question 6

When creating an arteriovenous fistula,commonly used autologous vessels are the radial artery and cephalic vein at the wrist.

Question 7

Pulmonary arteries carry oxygenated blood to the lungs.

Question 8

Which serious immediate complication of peripheral vascular surgery requires an immediate return to the OR?

A)Pain
B)Hypertension
C)Thrombus
D)Hypotension

Question 9

Which of the following are used to protect the small intestine and colon during an abdominal aneurysmectomy?

A)Dry prep towels to soak up any blood loss
B)Warm, moist tapes
C)Warm, saline-soaked ray-tec
D)Sweetheart retractor

Question 10

Veins are more difficult to anastomose and are more likely to occlude than arteries when used as a graft.

Question 11

Which of the following uses streptokinase to dissolve a thrombus in an occluded vessel?

A)Endarterectomy
B)Thrombolytic therapy
C)Embolectomy
D)Fluoroscopy

Question 12

Match each procedure with its definition.
a.Embolectomy
b.Atherectomy
c.Balloon dilation
d.Intraluminal stent
e.Laser angioplasty
f.Thrombolytic therapy
g.Thrombectomy
Removal of traveling blood clot

Question 13

What is the most common arterial disease?

A)Embolus
B)Venous stasis disease
C)Atherosclerosis
D)Varicose veins

Question 14

Which type of aneurysm is caused by a break in the integrity of the vessel wall,which requires an open repair?

A)Pseudoaneurysm
B)True aneurysm
C)Dissecting aneurysm
D)Saccular aneurysm

Question 15

Match each procedure with its definition.
a.Embolectomy
b.Atherectomy
c.Balloon dilation
d.Intraluminal stent
e.Laser angioplasty
f.Thrombolytic therapy
g.Thrombectomy
Prosthetic implant to maintain patency after dilation of vessel

Question 16

Which shunt is used to relieve portal hypertension to decompress esophageal varices?

A)Mesocaval shunt
B)Hepatorenal shunt
C)Suprahepatic shunt
D)Portacaval shunt

Question 17

Which is an advantage of using an autologous saphenous vein graft?

A)Less expensive than an allograft
B)Does not have to be anastomosed to the receiving vessel
C)Is lined with epithelial cells to inhibit clotting
D)Decreases in diameter as it courses distally

Question 18

Which is a predisposing factor to venous stasis disease?

A)Hyperkalemia
B)Low socioeconomic status
C)Obesity
D)Pulmonary fibrosis

Question 19

Which is one of the three layers of the arterial walls?

A)Semilunar
B)Popliteal
C)Intima
D)Mediastinal

Question 20

Which is a reason a shunt is used routinely during a carotid endarterectomy?

A)To prevent blood loss
B)To avoid making an arteriotomy in the carotid artery
C)To maintain blood flow to the brain
D)To enhance visibility of the carotid plaque

Question 21

Match each procedure with its definition.
a.Embolectomy
b.Atherectomy
c.Balloon dilation
d.Intraluminal stent
e.Laser angioplasty
f.Thrombolytic therapy
g.Thrombectomy
Removal of stationary blood clot

Question 22

Match each procedure with its definition.
a.Embolectomy
b.Atherectomy
c.Balloon dilation
d.Intraluminal stent
e.Laser angioplasty
f.Thrombolytic therapy
g.Thrombectomy
Pharmacologic injection to dissolve a clot

Question 23

Match each procedure with its definition.
a.Embolectomy
b.Atherectomy
c.Balloon dilation
d.Intraluminal stent
e.Laser angioplasty
f.Thrombolytic therapy
g.Thrombectomy
Pulverizing of plaque by a high-speed burr

Question 24

Match each procedure with its definition.
a.Embolectomy
b.Atherectomy
c.Balloon dilation
d.Intraluminal stent
e.Laser angioplasty
f.Thrombolytic therapy
g.Thrombectomy
Compresses atheromatous material against arterial wall